Spencer, Wesley Daniel

Spencer, Wesley Daniel is an individual health care provider with primary practice located at 90 E 200 N , Logan UT 84321-4034. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Spencer, Wesley Daniel can be contacted via phone (435) 752-0750.

Contact Information

Primary practice address
90 E 200 N Logan UT 84321-4034
Phone: (435) 752-0750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4803198-2501 Utah

Profile Details

NPI number 1750486809
LBN Legal business name Spencer, Wesley Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750486809 NPPES
Utah Other 870401386SP1 EMIA
Utah Other 70578 EMIA
Utah Other 107003178101 EMIA

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